耿艳霞,蒋华,吕海,陈栋,陈秋华,周海琪,裴颖皓,原萌谦

• 1:南京中医药大学附属医院江苏省中医院

摘要(Abstract)：

目的 观察以“治痿独取阳明、培土生金”理论为指导的电针干预呼吸机相关性膈肌功能障碍（VIDD的疗效。方法 将62例VIDD患者随机分为对照组与电针组各31例。对照组接受常规支持治疗，电针组在常规治疗基础上予电针治疗7 d，穴取中府、膻中、曲池、足三里，每日2次，每次30 min。床旁超声测定第1天及第7天的膈肌功能，包括膈肌活动度、膈肌厚度和膈肌厚度变化率，并观察两组患者的撤机时间及第7天撤机成功率。结果 电针组第7天膈肌活动度明显高于对照组（P <0.05）。两组患者第7天吸气末膈肌厚度、呼气末膈肌厚度及膈肌厚度变化率比较，差异无统计学意义（P> 0.05）。两组患者撤机时间及第7天撤机成功率比较，差异均无统计学意义（P>0.05）。结论 电针治疗可提高VIDD患者膈肌活动度，可在一定程度上改善膈肌功能。

关键词(KeyWords)： 膈肌功能障碍;机械通气;电针;膈肌超声

Abstract:

Keywords:

基金项目(Foundation): 江苏省中医院创新发展基金专项（Y2018CX05）;江苏省中医院创新课题（Y2020CX11）

作者(Author): 耿艳霞,蒋华,吕海,陈栋,陈秋华,周海琪,裴颖皓,原萌谦

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